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Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM) ventilation: E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (non-dominant hand) and Thenar Eminence (non-dominant hand) – E-C (dominant hand)

Identifieur interne : 000814 ( Pmc/Checkpoint ); précédent : 000813; suivant : 000815

Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM) ventilation: E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (non-dominant hand) and Thenar Eminence (non-dominant hand) – E-C (dominant hand)

Auteurs : Maryam Soleimanpour [Iran] ; Farzad Rahmani [Iran] ; Alireza Ala [Iran] ; Hamid Reza Morteza Bagi [Iran] ; Ata Mahmoodpoor [Iran] ; Samad Ej Golzari [Iran] ; Fatemeh Zahmatyar [Iran] ; Robab Mehdizadeh Esfanjani [Iran] ; Hassan Soleimanpour [Iran]

Source :

RBID : PMC:5304096

Abstract

Introduction: Bag-valve-mask (BVM) ventilation is the first and important part of the airway management. The aim of present study was to evaluate the quality of four different BVM ventilation techniques – E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (Non dominant hand), and Thenar Eminence (Non dominant hand)-E-C (Dominant hand) – among two novice and experienced groups.

Methods: In a case-control and mannequin based study that was conducted in Tabriz University of medical sciences, 120 volunteers were recruited and divided into two groups. 60 participants in experienced and other 60 as novice group who observed BVM ventilation but hadn’t practical experience about BVM ventilation. Every participant in both groups performed 4 BVM ventilation techniques under the supervision of an experienced assessor. Quality of mannequin chest expansion was recorded by two other experienced assessors who were blind to ventilation process. The data were analyzed with SPSS 17.0.

Results: In novice group, when evaluating each technique performance, they did Thenar Eminence (non-dominant hand) - E-C (dominant hand) technique much better than the others (P<0.0001). But in the experienced group, there was no meaningful difference between the all four techniques (P= 0.102).

Conclusion: Novice participants did Thenar Eminence (non-dominant hand) - E-C (dominant hand) technique better than the others. Therefore, it is recommended that training of this technique was placed in educational program of medical students.


Url:
DOI: 10.15171/jcvtr.2016.30
PubMed: 28210469
PubMed Central: 5304096


Affiliations:


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PMC:5304096

Le document en format XML

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<title xml:lang="en" level="a" type="main">Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM) ventilation: E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (non-dominant hand) and Thenar Eminence (non-dominant hand) – E-C (dominant hand)</title>
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<name sortKey="Soleimanpour, Maryam" sort="Soleimanpour, Maryam" uniqKey="Soleimanpour M" first="Maryam" last="Soleimanpour">Maryam Soleimanpour</name>
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<name sortKey="Ala, Alireza" sort="Ala, Alireza" uniqKey="Ala A" first="Alireza" last="Ala">Alireza Ala</name>
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<name sortKey="Morteza Bagi, Hamid Reza" sort="Morteza Bagi, Hamid Reza" uniqKey="Morteza Bagi H" first="Hamid Reza" last="Morteza Bagi">Hamid Reza Morteza Bagi</name>
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<name sortKey="Mahmoodpoor, Ata" sort="Mahmoodpoor, Ata" uniqKey="Mahmoodpoor A" first="Ata" last="Mahmoodpoor">Ata Mahmoodpoor</name>
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<name sortKey="Golzari, Samad Ej" sort="Golzari, Samad Ej" uniqKey="Golzari S" first="Samad Ej" last="Golzari">Samad Ej Golzari</name>
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<name sortKey="Zahmatyar, Fatemeh" sort="Zahmatyar, Fatemeh" uniqKey="Zahmatyar F" first="Fatemeh" last="Zahmatyar">Fatemeh Zahmatyar</name>
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<name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name>
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<nlm:aff id="A07">Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff>
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<title level="j">Journal of Cardiovascular and Thoracic Research</title>
<idno type="ISSN">2008-5117</idno>
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<p>
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<italic>Introduction:</italic>
</bold>
Bag-valve-mask (BVM) ventilation is the first and important part of the airway management. The aim of present study was to evaluate the quality of four different BVM ventilation techniques – E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (Non dominant hand), and Thenar Eminence (Non dominant hand)-E-C (Dominant hand) – among two novice and experienced groups. </p>
<p>
<bold>
<italic>Methods:</italic>
</bold>
In a case-control and mannequin based study that was conducted in Tabriz University of medical sciences, 120 volunteers were recruited and divided into two groups. 60 participants in experienced and other 60 as novice group who observed BVM ventilation but hadn’t practical experience about BVM ventilation. Every participant in both groups performed 4 BVM ventilation techniques under the supervision of an experienced assessor. Quality of mannequin chest expansion was recorded by two other experienced assessors who were blind to ventilation process. The data were analyzed with SPSS 17.0. </p>
<p>
<bold>
<italic>Results:</italic>
</bold>
In novice group, when evaluating each technique performance, they did Thenar Eminence (non-dominant hand) - E-C (dominant hand) technique much better than the others (
<italic>P</italic>
<0.0001). But in the experienced group, there was no meaningful difference between the all four techniques (
<italic>P</italic>
= 0.102). </p>
<p>
<bold>
<italic>Conclusion:</italic>
</bold>
Novice participants did Thenar Eminence (non-dominant hand) - E-C (dominant hand) technique better than the others. Therefore, it is recommended that training of this technique was placed in educational program of medical students. </p>
</div>
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<name sortKey="Golzari, Se" uniqKey="Golzari S">SE Golzari</name>
</author>
<author>
<name sortKey="Soleimanpour, H" uniqKey="Soleimanpour H">H Soleimanpour</name>
</author>
<author>
<name sortKey="Eslampour, Y" uniqKey="Eslampour Y">Y Eslampour</name>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Cardiovasc Thorac Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Cardiovasc Thorac Res</journal-id>
<journal-id journal-id-type="publisher-id">J Cardiovasc Thorac Res</journal-id>
<journal-id journal-id-type="pmc">JCVTR</journal-id>
<journal-id journal-id-type="publisher-id">TBZMED</journal-id>
<journal-title-group>
<journal-title>Journal of Cardiovascular and Thoracic Research</journal-title>
</journal-title-group>
<issn pub-type="ppub">2008-5117</issn>
<issn pub-type="epub">2008-6830</issn>
<issn-l>2008-5117</issn-l>
<publisher>
<publisher-name>Tabriz University of Medical Sciences</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28210469</article-id>
<article-id pub-id-type="pmc">5304096</article-id>
<article-id pub-id-type="doi">10.15171/jcvtr.2016.30</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM) ventilation: E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (non-dominant hand) and Thenar Eminence (non-dominant hand) – E-C (dominant hand)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Soleimanpour</surname>
<given-names>Maryam</given-names>
</name>
<xref ref-type="aff" rid="A01">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rahmani</surname>
<given-names>Farzad</given-names>
</name>
<xref ref-type="aff" rid="A02">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ala</surname>
<given-names>Alireza</given-names>
</name>
<xref ref-type="aff" rid="A02">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Morteza Bagi</surname>
<given-names>Hamid Reza</given-names>
</name>
<xref ref-type="aff" rid="A02">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mahmoodpoor</surname>
<given-names>Ata</given-names>
</name>
<xref ref-type="aff" rid="A03">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Golzari</surname>
<given-names>Samad EJ</given-names>
</name>
<xref ref-type="aff" rid="A04">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zahmatyar</surname>
<given-names>Fatemeh</given-names>
</name>
<xref ref-type="aff" rid="A05">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mehdizadeh Esfanjani</surname>
<given-names>Robab</given-names>
</name>
<xref ref-type="aff" rid="A06">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Soleimanpour</surname>
<given-names>Hassan</given-names>
</name>
<xref ref-type="aff" rid="A07">
<sup>7</sup>
</xref>
<xref rid="COR1" ref-type="corresp">*</xref>
</contrib>
</contrib-group>
<aff id="A01">
<sup>1</sup>
Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</aff>
<aff id="A02">
<sup>2</sup>
Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran</aff>
<aff id="A03">
<sup>3</sup>
Anesthesiology Research Team, Tabriz University of Medical Sciences, Tabriz, Iran</aff>
<aff id="A04">
<sup>4</sup>
Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</aff>
<aff id="A05">
<sup>5</sup>
Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran</aff>
<aff id="A06">
<sup>6</sup>
Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</aff>
<aff id="A07">
<sup>7</sup>
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</aff>
<author-notes>
<corresp id="COR1">
<label>*</label>
<bold>Corresponding Author:</bold>
Hassan Soleimanpour,
<email>soleimanpourh@tbzmed.ac.ir</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>27</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>8</volume>
<issue>4</issue>
<fpage>147</fpage>
<lpage>151</lpage>
<history>
<date date-type="received">
<day>07</day>
<month>8</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>10</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© 2016 The Author(s)</copyright-statement>
<copyright-year>2016</copyright-year>
<license>
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. </license-p>
</license>
</permissions>
<self-uri xlink:href="http://journals.tbzmed.ac.ir/JCVTR">http://journals.tbzmed.ac.ir/JCVTR</self-uri>
<abstract>
<p>
<bold>
<italic>Introduction:</italic>
</bold>
Bag-valve-mask (BVM) ventilation is the first and important part of the airway management. The aim of present study was to evaluate the quality of four different BVM ventilation techniques – E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (Non dominant hand), and Thenar Eminence (Non dominant hand)-E-C (Dominant hand) – among two novice and experienced groups. </p>
<p>
<bold>
<italic>Methods:</italic>
</bold>
In a case-control and mannequin based study that was conducted in Tabriz University of medical sciences, 120 volunteers were recruited and divided into two groups. 60 participants in experienced and other 60 as novice group who observed BVM ventilation but hadn’t practical experience about BVM ventilation. Every participant in both groups performed 4 BVM ventilation techniques under the supervision of an experienced assessor. Quality of mannequin chest expansion was recorded by two other experienced assessors who were blind to ventilation process. The data were analyzed with SPSS 17.0. </p>
<p>
<bold>
<italic>Results:</italic>
</bold>
In novice group, when evaluating each technique performance, they did Thenar Eminence (non-dominant hand) - E-C (dominant hand) technique much better than the others (
<italic>P</italic>
<0.0001). But in the experienced group, there was no meaningful difference between the all four techniques (
<italic>P</italic>
= 0.102). </p>
<p>
<bold>
<italic>Conclusion:</italic>
</bold>
Novice participants did Thenar Eminence (non-dominant hand) - E-C (dominant hand) technique better than the others. Therefore, it is recommended that training of this technique was placed in educational program of medical students. </p>
</abstract>
<kwd-group>
<kwd>Bag-Valve-Mask Ventilation</kwd>
<kwd>Airway Management</kwd>
<kwd>Two Hand BVM Ventilation</kwd>
</kwd-group>
<counts>
<fig-count count="3"></fig-count>
<table-count count="1"></table-count>
<ref-count count="20"></ref-count>
<page-count count="5"></page-count>
</counts>
</article-meta>
<notes>
<p>
<bold>
<italic>Please cite this article as:</italic>
</bold>
Soleimanpour M, Rahmani F, Ala A, Morteza Bagi HR, Mahmoodpoor A, Golzari SE, Zahmatyar F, Mehdizadeh Esfanjani R, Soleimanpour H. Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM) ventilation: E-C, Thenar Eminence, Thenar Eminence (dominant hand)-E-C (non-dominant hand) and Thenar Eminence (non-dominant hand) – E-C (dominant hand).
<bold>J Cardiovasc Thorac Res</bold>
2016;8(4):147-151. doi: 10.15171/jcvtr.2016.30. </p>
</notes>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Iran</li>
</country>
</list>
<tree>
<country name="Iran">
<noRegion>
<name sortKey="Soleimanpour, Maryam" sort="Soleimanpour, Maryam" uniqKey="Soleimanpour M" first="Maryam" last="Soleimanpour">Maryam Soleimanpour</name>
</noRegion>
<name sortKey="Ala, Alireza" sort="Ala, Alireza" uniqKey="Ala A" first="Alireza" last="Ala">Alireza Ala</name>
<name sortKey="Golzari, Samad Ej" sort="Golzari, Samad Ej" uniqKey="Golzari S" first="Samad Ej" last="Golzari">Samad Ej Golzari</name>
<name sortKey="Mahmoodpoor, Ata" sort="Mahmoodpoor, Ata" uniqKey="Mahmoodpoor A" first="Ata" last="Mahmoodpoor">Ata Mahmoodpoor</name>
<name sortKey="Mehdizadeh Esfanjani, Robab" sort="Mehdizadeh Esfanjani, Robab" uniqKey="Mehdizadeh Esfanjani R" first="Robab" last="Mehdizadeh Esfanjani">Robab Mehdizadeh Esfanjani</name>
<name sortKey="Morteza Bagi, Hamid Reza" sort="Morteza Bagi, Hamid Reza" uniqKey="Morteza Bagi H" first="Hamid Reza" last="Morteza Bagi">Hamid Reza Morteza Bagi</name>
<name sortKey="Rahmani, Farzad" sort="Rahmani, Farzad" uniqKey="Rahmani F" first="Farzad" last="Rahmani">Farzad Rahmani</name>
<name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name>
<name sortKey="Zahmatyar, Fatemeh" sort="Zahmatyar, Fatemeh" uniqKey="Zahmatyar F" first="Fatemeh" last="Zahmatyar">Fatemeh Zahmatyar</name>
</country>
</tree>
</affiliations>
</record>

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